Archiv für Gynäkologie

, Volume 218, Issue 4, pp 261–268

Gynaecological tuberculosis, past, present and future

Authors

  • Arthur M. Sutherland
    • Department of Obstetrics and GynaecologySouthern General Hospital
Article

DOI: 10.1007/BF00672328

Cite this article as:
Sutherland, A.M. Arch. Gynak. (1975) 218: 261. doi:10.1007/BF00672328

Summary

Until the introduction of the anti-tuberculosis drugs about 25 years ago, the treatment of tuberculosis of the female genital tract was generally unsatis-factory although many different forms of therapy were employed. Surgery was associated with a high incidence of post-operative complications, particularly of fistula, and an appreciable mortality rate.

The position improved greatly after the introduction of the anti-tuberculosis drugs. Several drug programmes were employed by the writer, the best results being obtained with a combination of streptomycin, PAS and isoniazid for at least 18 months. Where drug treatment had failed, or where pelvic masses developed, surgery under drug cover was employed. No serious complications and no fatalities occurred in these patients.

The question of possible transmission through sexual intercourse of male genitourinary tuberculosis is being investigated. A new drug programme is now being employed, the drugs used being streptomycin, ethambutol and isoniazid.

Copyright information

© J. F. Bergmann 1975